Lamoine Valley Clinic, S. C.

NPI #1861485252 in Macomb, Illinois

Provider Information

NPI Number: 1861485252
Entity Type: Organization
Organization Name: Lamoine Valley Clinic, S. C.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 31, 2005
Last Updated: Aug 2, 2010

Practice Location

Address: 5 DOCTORS LN
City: Macomb
State: Illinois
ZIP Code: 61455-3369
Phone: (309) 836-3387

Authorized Official

Name: KATHY HAMM
Title: OFFICE MANAGER
Phone: (309) 836-3387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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